Industrial Maintenance Electrician Mechanic - McCordsville, IN

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Position Applied For*

Position Location*

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Telephone

Have you worked for Southwark Metal before?

Yes
No

When

Location

Do you have any friends/relatives working for Southwark Metal currently?

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No

If so, please list their names:

Can you Work when Needed?

Any Shift?

Yes
No

Overtime?

Yes
No

Weekends?

Yes
No

Explain:

Can you perform the essential functions of the position for which you are applying?

Yes
No

Explain:

Date available to start

Salary or hourly rate requested

If you are under the age of 18, do you have employment/age certificates?

Yes
No

Are you a United States Citizen, or otherwise authorized to work in the United States on an unrestricted basis?

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No

Dates Attended

Special Skills or Training

Please summarize any skills or training you may possess

Military History

Any previous military experience?

Yes
No

Please List Details (Rank, Branch, Military Specialty, Date of Discharge)

*Note - A dishonorable discharge will not constitute an automatic bar to employment

Have you ever been conviceted of a criminal offense?

Yes
No

*Note - Conviction will not necessarily disqualify an applicant for employment

Explain

Education

School	From	To:	Degree/Major	Actions

There are no Education.

Fill out a section for each level of education.

Employment History

Employer Name	From	To	Supervisor	May we contact this employer?	Actions

There are no Employment.

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Employment Acknowledgement

Please read & accept the following: Southwark Metal Mfg. Co. Is an equal opportunity employer, and all employment decisions are made without regard to race, color, religion, sex, national origin, age, veteran status, disability, union affiliation (if any), or any other categories protected by federal, state, or local law. No question on this application is intended to secure information to be used for such discrimination. I consent to take the physical examination and drug/alcohol screen, and any future physical examinations and drug/alcohol screens, as Southwark Metal Mfg. Co. may designate. I understand that an offer of employment may be contingent on passing the physical examination and drug/alcohol screens which relates to the essential duties I would be required to perform. I authorize Southwark Metal Mfg. Co. to fully investigate my work record and qualifications either before or after my employment. I hereby authorize all previous employers and educational institutions to release, to Southwark Metal Mfg. Co., any information it may request. I certify that all statements made by me on this application are true and correct to the best of my knowledge, and are a full and complete disclosure. I further agree that if employed, any misrepresentation, falsification, or omission of facts shall justify my dismissal. I understand and agree that all products and results ofwork I perform in the course of my employment shall be the sole property of Southwark Metal Mfg. Co. I will be required to complete an EMPLOYMENT VERIFICATION FORM (I9) ·and within three (3) days show satisfactory evidence of identity and eligibility for employment.

Certification - Best of Knowledge*

I certify that this application was completed by me and that all entries on it and information in it are true and complete to the best of my knowledge.

Date

Please review your entries. When you are ready to submit your application, click the below "submit" button. It may take a few moments to process your submission before successfully completing. We thank you for your patience and interest in joining Southwark Metal Mfg!

Industrial Maintenance Electrician Mechanic – McCordsville, IN

Employment Application (Standard) (new)

Can you Work when Needed?

Employment Acknowledgement

Can you Work when Needed?

Employment Acknowledgement

Dates Attended:

Length of Service

Dates Attended:

Length of Service